Midwest Pain Clinic Pc
LBN: Midwest Pain Clinic Pc
Midwest Pain Clinic Pc is an health care organization with primary practice located at 825 N 90Th St , Omaha NE 68114-2702. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Midwest Pain Clinic Pc can be contacted via phone (402) 391-7246, or through Mahoney, Maureen E via phone (402) 391-7246.
Contact Information
Primary practice address
825 N 90Th St
Omaha NE 68114-2702
Phone: (402) 391-7246
Fax: (402) 408-1783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1043482094 |
|---|---|
| LBN Legal business name | Midwest Pain Clinic Pc |
| DBA Doing business as | |
| Authorized official | Mahoney, Maureen E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 31st, 2008 |
| Last updated | Sep 12th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043482094 | NPPES |
| Iowa | MEDICAID | 263940 | |
| Iowa | MEDICAID | S104099 | |
| Iowa | MEDICAID | NA1054 |
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